Validation of the posttraumatic stress disorder checklist – 5 (PCL-5) in a primary care population with high HIV prevalence in Zimbabwe

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dc.contributor.authorVerhey, Ruthen_ZA
dc.contributor.authorChibanda, Dixonen_ZA
dc.contributor.authorGibson, Lornaen_ZA
dc.contributor.authorBrakarsh, Jonathanen_ZA
dc.contributor.authorSeedat, Sorayaen_ZA
dc.date.accessioned2018-04-30T05:26:39Z
dc.date.available2018-04-30T05:26:39Z
dc.date.issued2018-04-23
dc.date.updated2018-04-29T03:33:16Z
dc.descriptionCITATION: Verhey, R., et al. 2018. Validation of the posttraumatic stress disorder checklist – 5 (PCL-5) in a primary care population with high HIV prevalence in Zimbabwe. BMC Psychiatry, 18:109, doi:10.1186/s12888-018-1688-9.
dc.descriptionThe original publication is available at https://bmcpsychiatry.biomedcentral.com
dc.description.abstractBackground: There is a dearth of validated tools measuring posttraumatic stress disorder (PTSD) in low and middleincome countries in sub-Saharan Africa. We validated the Shona version of the PTSD Checklist for DSM-5 (PCL-5) in a primary health care clinic in Harare, Zimbabwe. Method: Adults aged 18 and above attending the clinic were enrolled over a two-week period in June 2016. After obtaining written consent, trained research assistants administered the tool to eligible participants. Study participants were then interviewed independently using the Clinician Administered PTSD Scale (CAPS-5) as the gold standard by one of five doctors with training in mental health. Result: A total of 204 participants were assessed. Of these, 91 (44.6%) were HIV positive, 100 (49%) were HIV negative, while 13 (6.4%) did not know their HIV status. PTSD was diagnosed in 40 (19.6%) participants using the gold standard procedure. Using the PCL-5 cut-off of ≥33, sensitivity and specificity were 74.5% (95%CI: 60.4–85.7); 70.6% (95%CI: 62.7–77.7), respectively. The area under the ROC curve was 0.78 (95%CI: 0.72–0.83). The Shona version of the PCL- 5 demonstrated good internal consistency (Cronbach’s alpha=0.92). Conclusion: The PCL-5 performed well in this population with a high prevalence of HIV. There is need to explore ways of integrating screening tools for PTSD in interventions delivered by lay health workers in low and middleincome countries (LMIC).en
dc.description.urihttps://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-018-1688-9
dc.description.versionPublisher's version
dc.format.extent8 pages ; illustrations
dc.identifier.citationVerhey, R., et al. 2018. Validation of the posttraumatic stress disorder checklist – 5 (PCL-5) in a primary care population with high HIV prevalence in Zimbabwe. BMC Psychiatry, 18:109, doi:10.1186/s12888-018-1688-9
dc.identifier.issn1471-244X (online)
dc.identifier.otherdoi:10.1186/s12888-018-1688-9
dc.identifier.urihttp://hdl.handle.net/10019.1/103975
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Central
dc.rights.holderAuthors retain copyright
dc.subjectPost-traumatic stress disorder -- Developing countries
dc.subjectHIV-positive persons -- Zimbabween_ZA
dc.subjectPrimary care (Medicine) -- Zimbabween_ZA
dc.titleValidation of the posttraumatic stress disorder checklist – 5 (PCL-5) in a primary care population with high HIV prevalence in Zimbabween_ZA
dc.typeArticleen_ZA
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